Evaluating the Increased Burden of Cardiorespiratory Illness Visits to Adult Emergency Departments During Flu and Bronchiolitis Outbreaks in the Pediatric Population: Retrospective Multicentric Time Series Analysis (Preprint)
Rattachement africain : fr. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND Cardiorespiratory decompensation (CRD) visits have a profound effect on adult emergency departments (EDs). Respiratory pathogens like respiratory syncytial virus (RSV) and influenza virus are common reasons for increased activity in pediatric EDs and are associated with CRD in the adult population. Given the seasonal aspects of such challenging pathology, it would be advantageous to predict their variations. OBJECTIVE The goal of this study was to evaluate the increased burden of CRD in adult EDs during flu and bronchiolitis outbreaks in the pediatric population. METHODS An ecological study was conducted, based on admissions to the adult ED of the Centre Hospitalier Universitaire (CHU) of Grenoble and Saint Etienne from June 29, 2015 to March 22, 2020. The outbreak periods for bronchiolitis and flu in the pediatric population were defined with a decision-making support tool, PREDAFLU, used in the pediatric ED. A Kruskal-Wallis variance analysis and a Spearman monotone dependency were performed in order to study the relationship between the number of adult ED admissions for the International Classification of Diseases (ICD)-10 codes related to cardiorespiratory diagnoses and the presence of an epidemic outbreak as defined with PREDAFLU. RESULTS The increase in visits to the adult ED for CRD and the bronchiolitis and flu outbreaks had a similar distribution pattern (CHU Saint Etienne: χ23=102.7, P<.001; CHU Grenoble: χ23=126.67, P<.001) and were quite dependent in both hospital settings (CHU Saint Etienne: Spearman ρ=0.64; CHU Grenoble: Spearman ρ=0.71). The increase in ED occupancy for these pathologies was also significantly related to the pediatric respiratory infection outbreaks. These 2 criteria gave an idea of the increased workload in the ED due to CRD during the bronchiolitis and flu outbreaks in the pediatric population. CONCLUSIONS This study established that CRD visits and bed occupancy for adult EDs were significantly increased during bronchiolitis and pediatric influenza outbreaks. Therefore, a prediction tool for these outbreaks such as PREDAFLU can be used to provide early warnings of increased activity in adult EDs for CRD visits.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Evaluating the Increased Burden of Cardiorespiratory Illness Visits to Adult Emergency Departments During Flu and Bronchiolitis Outbreaks in the Pediatric Population: Retrospective Multicentric Time Series Analysis (Preprint)
- Date Crossref
- 18/11/2020
- Éditeur
- JMIR Publications Inc.
- Type
- posted-content
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Centre Hospitalier Universitaire de Saint-Étienne pays non établi dans la noticeÉtablissement de santé
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Lyon 1 Université pays non établi dans la noticeUniversité ou école supérieure
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Décision et Information pour les Systèmes de Production pays non établi dans la noticeStructure de recherche
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Université Grenoble Alpes pays non établi dans la noticeUniversité ou école supérieure
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University Hospital of Saint Etienne Department of Pediatric Emergency pays non établi dans la noticeUniversité ou école supérieure
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University of Lyon Décision et Information pour les Systèmes de Production EA4570 pays non établi dans la noticeUniversité ou école supérieure
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University Grenoble Alpes Emergency Department and Mobile Intensive Care Unit pays non établi dans la noticeUniversité ou école supérieure
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Hospital University Department of Pediatric Emergency pays non établi dans la noticeUniversité ou école supérieure
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Groupe sur l'Immunité des Muqueuses et Agents Pathogènes EA 3064 pays non établi dans la noticeInstitution
Centre Hospitalier Universitaire de Saint-Étienne, Lyon 1 Université et Décision et Information pour les Systèmes de Production, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.